Now I can do it pain-free. A microdiscectomy is a procedure which is typically indicated when a herniated, protruded, or extruded disc in your spine presses against a central nerve causing leg pain, numbness, or weakness.Microdiscectomy, also sometimes called microdecompression or microdiskectomy, is a minimally invasive surgical procedure performed on patients with a herniated lumbar disc. Important Facts & Symptoms to Know Spinal stenosis is a condition in which the spinal canal narrows, placing pressure on the nerves that travel Correcting Your Posture & Protecting Your Spine It's no secret that good posture is important for our overall health. AtTheSpine Center, were dedicated to providing you with high quality, personalized back and neck care. "Clinical studies indicate that patients who engage as soon as possible in stretching, conditioning exercises that help strengthen back muscles and who participate in low-impact, aerobic exercises like walking, biking or swimming actually return to their normal, daily activities more quickly," Dr. Liu says. Standing, walking, swimming wasn't a big issue, however sitting down was . In the case of recurrent back pain accompanied bysciatica(pain radiating down the back of the leg) after total discectomy, another discmay have become herniated. Depending on theindividual, every microdiscectomy recovery proceeds slightly differently. Get Veritas Health Newsletters delivered to your inbox. When discectomy is performed, improvement in LRP is observed due to spinal nerve irritation. Could this new pain be a sign of a still existing compression, or is the nerve just saying hello, I am alive? Special caution must be exercised for patients who have decreased skin sensation at the surgical site and/or pre-existing conditions, such as diabetes. Generally, herniated disc surgery recovery is relatively quick, with a high success rate. Discectomy surgery requires your surgeon to make a small incision and navigate carefully around the muscles and nerves of the spine in order to reach the spinal disc(s) in need of removal. Return nerve pain after a microdiscectomy can originate from three issues; nerve inflammation, re-herniation or seroma formation. Had microdiscectomy L 4/5 on 08/13/09. Right after your procedure, any numbness will likely not be any cause for concern. If the source of your discomfort wasn't accurately diagnosed, a nerve that sends signals to your legs may still be compressed. When lifting heavy objects, keep yourback straight and use your knees to lift rather than your back. At The Spine Center, were dedicated to providing you with high-quality, personalized back and neck care. It's not always easy to precisely diagnose the symptoms related to nerve irritation around the spine. What should I do, other than physical therapy.. My leg is getting slimmer than the other and I am scared Its been six months already. ITs sitting that brings it on. Sometimes, the pain localises solely to one or both buttocks. The medical term for sciatica is lumbar radiculopathy: pinching of a nerve as it exits the spine. Could it be that the nerve is just waking up and healing? However, "it's important that patients get "back in the game" during lumbar discectomy recovery as quickly as possible," Dr. Liu says. Before surgery, I couldnt do this without there being a sharp, stabbing pain in my back, when lifting either leg, especially on the right side. Even though the nerve is injured at the spine, it feels like the pain is coming from the . Most disc herniation occurs in the lumbar spine, causing debilitating pain in your buttocks, thigh, and calf areas and is referred to as sciatica. This seroma should resolve in 2-3 months. Can;t wait until Monday a.m. to call his office again. Sciatica is the type of pain that originates in your lower back and typically radiates down one or both of your legs. I will keep going with my phyisical therapy, perform gentle stretches additionally and contact my surgeon again if things havent improved after 12 weeks? I have a sitting job, 3 hours total commuting per day. Thank you for choosing Dr. Corenman as your healthcare provider. Anyways, this newly developed, post-surgical buttock pain hasnt resolved even after 2 weeks. The butt pain is as bad, if not worse than, the original pain I was having in my lower back. Doc agrees it is probably permanent nerve damage. These conditions will typically not resolve on their own, and will require additional treatment potentially an additional surgical procedure. Marc J. Levine, MD 1 Hamilton Health Place, Suite 101 Hamilton, NJ 08690 Phone: 609-917-7720 Research has established that the SI joint is the source of pain in nearly half of patients who experience new or continued low back pain after fusion surgery. While most people who experience sciatica will not require surgery, if all other treatments . This problem is often resolved with physical therapy, although minor surgery may be needed in some situations. an infection in . When I walk I barely notice it. Discectomy, or microdiscectomy, is a procedure during which the surgeon removes a small portion of the disc that is compressing the nerve. For example, acetaminophen is in many common drugs, including cold medicines, which could lead to an overdose if labels are not read. We strive toofferefficient and professionalservicesto our patients, deliveredwith integrity and honesty in a cohesive, family-like environment. During a microdiscectomy procedure, the surgeonuses a microscope and laser toremovepart of the nucleus pulposus through a small incision (less than 2 inches). Your surgeon will start with conservative treatment options in the form of pain medications, physical therapy, and activity modification. Ususally, movement of the low back reproduces pain in the buttock. For editorial comments and questions, you can reach Dr. Bergin via email. Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. A microdiscectomy is a fairly common type of spine surgery, and its one that often produces beneficial results, including a noticeable decrease in discomfort. Start taking short walks around the house or the yard; climb stairs if you can do so without pain. See Also. For patients with strenuous or physically demanding jobs,waiting three months or longer before resuming physical work activities is the norm. Ive been reading through many of these questions and respons 38 year old male, 5'8 165 pounds. Note:Reherniationdoes not occur with total discectomy because the entire disc has already been removed. Adjacent segment syndrome (also known as . The patient reported pain radiating in multiple trajectories but on clinical assessment had no specific dermatomal distribution. Although most patients enjoy noticeable pain relief immediately following the surgery, nerve recovery after a lumbar discectomy is dependent on a variety of factors. If youstill have apprehensions, theycansharespecificmicrodiscectomy recovery stories with you. Other times the sciatica may be . This condition is regarded as a major healthcare problem that should be considered a public health crisis according to researchers. I was always treated with respect and explained everything throughly, that made it easy for everyone to understand. The best posture for someone with back pain is lying on their side in the fetal position. I have nerve issues in the lumbar and my spine doc is in denial - advice? Epidurals x3, PT 4 mos, some relief, but constant foot pain and numbness continued Microdiscectomy 6/6/03 9/5/03 still have foot pain and numbness but recovered fine from surgery 1/19/04 I am 7 mos post op. If that treatment is not effective, depending upon symptom severity, I will order an MRI. Thankfully, only minor complicationsusuallyresult fromalumbarmicrodiscectomy. Since you are only four weeks out and better than prior to surgery, the nerve is probably still swollen. Numbness and tingling in the leg, however, may take up to a year to resolve. The foot drop thing is exactly what isgoing on. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON. After surgery, your surgeon may recommend visiting a physical therapist toimprove your recovery quality. Some pain in the back or buttock region post-op is completely normal. I am going back to work in roughly 10 days. The best wayfor them to diagnose the problem isthrough physical examination findings correlated with imaging studies (MRI, CT scan, X-rays, etc.). Dr. Bergin has a special interest in medical research and maintains membership in the Scoliosis Research Society. One reason your leg may still hurt after microdiscectomy surgery is because of the way compression can affect nerve roots. We strive to. Althougha minimally invasive procedureisoften considered the best practice for dealing with damaged spinal tissue, no surgery is completely without risk. It is our goal to provide the highest level of care and service to our patients. Peekawho is right..you probably need a dose pack of steroids..I had the same problem after my discectomy..they put me on a dose pack, and after the first pill, the pain in my butt and down my leg went away..hang in there..my surgeon explained it this way"the reason you are experiencing that pain, is because the nerve that has been pressed on by the disc for so long, is extremely "pissed off" and needs time to cool down.."it did finally cool down, with the help of the steroidsYes, be firm with the officegood luck..did you have foot drop?..if so, how severe?..and has it improved? Nerve tingling or paresthesias are common post nerve decompression. See Medications for Back Pain and Neck Pain. Was able to walk longer, and had almost no pain, except for the incision site stiffness. Other than swimming, exercise and two hour-long walks a day, I have been spending most of my time in bed for the rest of the day. Contact sports, heavy lifting, and other strenuous activities may still be avoided. Maintaining spinal mobility is key to the healing process. If you have any questions about the Barricaid treatment or how to get access to Barricaid, ask your doctor or contact us at 844-288-7474. Based onfollow-upstudies, recurrent lumbar disc herniation only occurs inroughly 10%ofallmicrodiscectomy patients. Viewing 6 posts - 1 through 6 (of 18 total). my L5 / S1 disc herniation mainly lead to severe left-side buttocks pain when stretching the nerve. I sincerely thank you for your helpful advice. So, possibility of a seroma aside, a swollen nerve could mimick the same (but in my case less severe) pain from the herniated disc because it would swell at the same place where it was pissed off for months? I would say be patient and gently perform hamstring stretches (which is the main exercise that stretches the sciatic nerve) GENTLY to try and cautiously squeeze the edema out of the nerve root. A lumbar microdiscectomy surgery is typically performed to alleviate the symptoms and signs of sciatica in the lower back and leg caused by a lumbar disc herniation. Most patients are gradually weaned off opioids over a period of 1 to 2 weeks. is a procedure used to remove all or part of a herniated disc when damaged discs are causing pain, numbness, and weakness ina patientslegs and back. It results from the inflammation of the sciatic nerve in your lower back. The patient reported a new pain experience on the left buttock that started insidiously two weeks after discharge. Sometimes this is a temporary condition as the nerve root or roots take time to heal. Our physicians serve as innovators in technology, actively participate in national and international research studies, and areatthe forefront of medical knowledge. This seroma should resolve in 2-3 months. Book an appointment with our board-certified orthopedists at Comprehensive Spine Institute by calling (727) 300-2537. When that happens, patients may experience symptoms that arevery much likethe original complaints of disc herniation. Recovering from surgery to correct a herniated spinal disc is no time to sit "back" and relax. Started neurontin this week. During the initial 2 weeks after a microdiscectomy surgery, the pain is most intense. However, in the last two days, I have noticed some nerve tingling down my right leg, at the back of the knee, heel, and the big toe. How to best prepare for it, if there is a way? Although weakness has improved, pain and burning sensation has also reduced, I cannot stil lift my foot from the ankle or make a single twist or movement of my toes.. No dorsiflexion or plantar flexion, MRI results revealed thickened edematuos(10mm) sciatic nerve plexus on the left side with grade 1 muscle edema within the gluteus maximus, sub acute denervation muscle changes in the form of combination of athropy /fatty replacement along the territory of the injured sciatic nerve, During therapy, when The (EMS) machine pads are placed on myL5region using interrupted currents, my muscles contract and my foot is lifted up but when faradic current is set It doesnt contract, what could this mean?
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